SUSAN M. WILLIS (NPI# 1619975448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619975448 |
| Entity Type | Individual |
| Full Name | SUSAN M. WILLIS |
| Credential | CRNA |
| Practice Address |
7205 Lake Mead Blvd Arlington TX 76016-4137 |
| Mailing Address |
Po Box 840853 Ste 600 Dallas TX 75284-4823 |
| Practice Telephone | 8175639211 |
| Mailing Telephone | 9727155000 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP101864 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 542468 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 89479C | 01 |
| TX | 126080404 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6606 Lyndon B Johnson Fwy Ste 200, Dallas, TX 752406524 | 9722331999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956553 | Susan Willis | Pharmacist | 712 Highway 371, Mooreville, MS 38857-7356 | 2018-09-18 |
| 1043315187 | Susan Willis | Psychiatry & Neurology | 3123 Fairview Ave E, Seattle, WA 98102-3051 | 2006-09-13 |
| 1689627945 | Susan Elizabeth Willis | Psychologist | 1066 W 4th St, Winston-salem, NC 27101-2434 | 2006-05-18 |
| 1417415340 | Susan R Willis | Counselor | 3086 State Route 160, Gallipolis, OH 45631-8409 | 2019-03-11 |
| 1528422938 | Susan Willis | Counselor | 6 Roberts Rd, Asheville, NC 28803-8699 | 2016-04-12 |
| 1396080396 | Susan Donna Willis | Nurse Practitioner | 6608 Mercy Ct Ste C, Fair Oaks, CA 95628-3171 | 2012-12-01 |
| 1316268832 | Susan Diane Willis | Marriage & Family Therapist | 3951 Performance Dr, Suite #g, Sacramento, CA 95838-3264 | 2010-06-18 |
| 1467652180 | Susan E Willis | Psychologist | 1625 The Alameda, Suite 404, San Jose, CA 95126-2220 | 2007-07-20 |
| 1578685780 | Susan Amy Willis | Counselor | 599 Canal St, Lawrence, MA 01840-1244 | 2007-04-06 |
| 1346304557 | Susan E Willis | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2006-12-21 |
| Street Address |
7205 LAKE MEAD BLVD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76016-4137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655646 | Kristin Allison Healer | Counselor | 5614 Arbor Valley Drive, Arlington, TX 76016 | 2020-10-01 |
| 1720564040 | Malesco LLC | Durable Medical Equipment & Medical Supplies | 2805 W. Arkansas Ln #300, Arlington, TX 76016 | 2018-07-19 |
| 1174034623 | Stat Trauma & Surgical Services, Pllc | Surgery | 6 Garden Ln, Arlington, TX 76016 | 2017-10-23 |
| 1689197626 | Ortho Pain Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2805 W Arkansas Ln Ste 300, Arlington, TX 76016 | 2017-07-21 |
| 1710382924 | Christopher Matthew Lemoine | Specialist/Technologist | 4501 W. Pleasant Ridge, Martin High School, Arlington, TX 76016 | 2014-10-30 |
| 1073936993 | Dariush Alirezaieyan | Specialist/Technologist, Other | 6601 Johns Crt, Arlington, TX 76016 | 2014-01-29 |
| 1063768380 | Melissa Kathleen Zawisza | Social Worker | 6311 Millwood Ct., Arlington, TX 76016 | 2012-07-24 |
| 1023377421 | Walter Ernest Williamson Jr. | Surgery | 4806 Wooded Acres Drive, Arlington, TX 76016 | 2012-05-07 |
| 1043585615 | Jack Henry Arlington, LLC | Alzheimer Center (Dementia Center) | 2300 Little Rd, Arlington, TX 76016 | 2012-03-15 |
| 1568608420 | Keorric Lamont Holiday | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3705 Fort Hunt Drive, Arlington, TX 76016 | 2008-12-26 |
| Find all providers in zip 76016 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023620002 | Jada Maria Robinson | Nurse Anesthetist, Certified Registered | 2000 15th St N Ste 600, Arlington, VA 22201-2900 | 2020-08-20 |
| 1801333984 | Kathleen Mabis | Nurse Anesthetist, Certified Registered | 1201 N George Mason Dr, Arlington, VA 22205-2539 | 2017-01-26 |
| 1043610520 | William Turner | Nurse Anesthetist, Certified Registered | 7626 Greystone Oaks Ave, Arlington, TN 38002-7518 | 2014-09-03 |
| 1598186348 | Marvin Ray Miller | Nurse Anesthetist, Certified Registered | 13213 S Sego Rd, Arlington, KS 67514-9422 | 2013-12-20 |
| 1609206457 | North Star Anesthesia | Nurse Anesthetist, Certified Registered | 2000 E. Lamar Blvd #400, Arlington, TX 76006 | 2013-11-14 |
| 1649516972 | Pinnacle Anesthesia Consultants Pllc | Nurse Anesthetist, Certified Registered | 800 West Arbrook, Suite 120, Arlington, TX 76015-4316 | 2012-12-13 |
| 1508101650 | Jack Pascual Garcia | Nurse Anesthetist, Certified Registered | 2000 E Lamar Blvd. Ste 400, Mirahealthcare of Texas, Pllc, Arlington, TX 76006 | 2012-11-30 |
| 1477857779 | Sherry Lynn Miller | Nurse Anesthetist, Certified Registered | 2000 E. Lamar Blvd., Ste. 400, Arlington, TX 76006 | 2010-12-29 |
| 1750681680 | Nicholas Daniel Cheatham | Nurse Anesthetist, Certified Registered | 2000 E. Lamar Blvd, Suite 400, Arlington, TX 76006 | 2010-10-26 |
| 1144490830 | Margaret Ball | Nurse Anesthetist, Certified Registered | 2000 East Lamar Blvd., Suite 400, Arlington, TX 76006 | 2008-03-10 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.